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Medical Management Specialist I - Care Coordination

HCSC - Downers Grove, IL

JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS:

Internal Operations Budget / Finance Analyst II

HCSC - Chicago, IL

**POSITION IS LOCATED IN THE CHICAGO HQ** IT Finance (FPA), Oracle PBCS/SmartView, Advanced Microsoft Excel, PowerBI, Reporting background preferred. BASIC FUNCTION: This position is responsible for gathering, analyzing, maintaining and reporting on budget/ expense data and financial performance metrics; utilizing...

Data Analyst

HCSC - Downers Grove, IL

BASIC FUNCTION: This position is responsible for designing analytical asset and client reports for Utilization and Medical Quality Management division; coordinating data transmission processes; conducting tests on data extracts and reports; performing data analysis; and making recommendations for process improvements. JOB REQUIREMENTS:

Regulatory Consultant

HCSC - Tulsa, OK

BASIC FUNCTION: This position is responsible for managing and leading the legislative and regulatory review efforts from preliminary regulatory and legislative research leading to modeling/scenario planning through implementation assigned programs and products. Responsible for recommending solutions for the business, creating responses, developing divisiona...

Strategic Product Manager - Transparency in Coverage

HCSC - Chicago, IL

Job Purpose: This position is responsible for managing complex existing products and or a product suite and leads the development of product strategy for both current and next generation product solutions in the health insurance space. Responsible for leading and managing the product lifecycle from ideation through market launch by analyzing and interpretin...

Product Manager

HCSC - Chicago, IL

Job Purpose: This position is responsible for managing existing products and contributing to the development of strategy for both current and next generation product solutions in the health insurance space. Plays a significant role in the product lifecycle from ideation through market launch by analyzing and interpreting market trends, developing marketing stra...

Provider Relations Representative

HCSC - Tulsa, OK

BASIC FUNCTION: This position is responsible for enhancing relationships with facility and physician providers; and acting as liaison with providers through education, training, claims assistance and ongoing provider service. JOB REQUIREMENTS: *Bachelor's Degree and 1 year managed care experience in products or contracts OR 5 years' experience in managed care envir...

Medical Management Specialist I - Care Coordination

HCSC - Las Cruces, NM

JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS:

Associate Developer - Chicago, IL, Tulsa, OK and Richardson, TX

HCSC - Richardson, TX

**This position will be located in one of the following areas: Tulsa, OK, Chicago, IL or Richardson, TX.** Job Purpose: This position is responsible for developing, integrating, testing, and maintaining existing and new applications; knowing one or more programming languages; knowing one or more development methodologies / deliv...

Internal Provider Network Representative I

HCSC - Albuquerque, NM

Job Purpose: This position is responsible for learning to provide assistance to practitioners in resolution of claims, pricing, coding, and contract issues; and for working with internal departments to evaluate and resolve provider/ contract and service issues. Required Job Qualifications: *Bachelor's Degree OR 4 years work experience in the health care/insura...

Platform Operations Consultant - Edifecs

HCSC - Richardson, TX

Job Purpose: This position is responsible for designing enhancements and new business applications and/or information systems solutions through integration of technical and business requirements; serving as technical designer to identify best solution and resulting technical specifications within limits of code environment; linking Business Analyst needs and Architect defin...

Holistic Health Specialist - Registered Nurse (RN)

HCSC - Abilene, TX

------------------------------------------------------------ At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" as one of our core values, we are focu...

Business Consultant - Business Enablement Solutions

HCSC - Downers Grove, IL

The Business Enablement Solutions team supports Enterprise Sales, Customer Service, and Underwriting divisions on solution delivery for pre-sale (quoting, account, and opportunity management) and post-sale (account installation, OE readiness) activities for new and renewing large/custom group business. Our consultants serve as liaisons between business teams and IT to gather, d...

Advanced Provider Reimbursement Program Analyst

HCSC - Chicago, IL

BASIC FUNCTION: This position is responsible for analyzing user requirements for, and designing, writing, and maintaining the most complex HCSC Facility Provider Reimbursement computer programs and systems and assists in coordinating and monitoring programming and analysis assignments. JOB REQUIREMENTS: * Bachelor's Degree in Computer Science, OR 2 years' experienc...

Assoc Test Engineer

HCSC - Richardson, TX

This position is responsible for scripting development, scripting execution, and scripting troubleshooting; using standard development frameworks. Required Job Qualifications: *Bachelor*s Degree OR 4 years Information Technology experience. *Continuous improvement, detail oriented, interpersonal and communication skills. *Problem solvin...